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DocuSign Envelope ID: 70B14FB4 -AE32- 4116- 89EE- 5DA48DF2569C <br />Orange County Health Department <br />Additional Terms and Conditions <br />These are additional terms and condition to the Agreement between Orange County and Provider to the <br />Countywide Agency Interpreter Agreement. The additional terms and conditions shall supersede any <br />terms and conditions in the original contract and are hereby incorporated as follows:. <br />Add to Subsection B.3.a Basic Services <br />V. The Provider and Interpreters will follow the National Code of Ethics and <br />Standards of Practice outlined by the National Council on Interpreting in <br />Health Care which can be found at www.ncihc.ora and is hereby <br />incorporated by reference. <br />vi. The Interpreters are required to sign the OCHD Conditions of Contract <br />Statement containing the confidentiality, Title X and public health <br />activities in emergency situations information which is hereby incorporated <br />by reference. <br />Add to Section B3.iii the following sentence: <br />The Provider should generally instruct clients to call the Health <br />Department front desk staff or the Spanish voicemail line at 644- <br />3350 (when language appropriate) to schedule an appointment or to <br />inquire about services. <br />Add to Subsection B.3 <br />c. Medical Documentation. Prior to beginning work, the Provider is required to: <br />i. Provide proof of immunity to varicella, measles, mumps and rubella. <br />Proof of immunity must be one of the following: medical records <br />diagnosing the disease, laboratory records confirming the disease, <br />laboratory records documenting positive disease titers, or medical <br />records documenting receipt of 2 doses of each vaccine, (Exception: If <br />the Provider has documentation of only one dose of vaccine, the Provider <br />must provide documentation of a second dose within 60 days of the first <br />day of contract work.) <br />ii.Provide proof of a TB screening and results to OCHD. The screening <br />can be one of the following: <br />1. Receipt of a TB skin test (TST) if the Provider has no history of <br />TB infection /disease or of a positive TST (Note: If the Provider <br />has not had an additional TST within the previous 12 months, a <br />second TST will be required one week after the first to establish <br />an accurate baseline.) <br />2. Completion of a TB Screening Form by a medical provider if the <br />Provider has a history of TB disease or of having a positive TST. <br />iii. Provide proof of Tdap vaccine. <br />Revised 06 /18 <br />12 <br />